Manager Revenue Integrity

Cooper University Hospital • Camden, NJ

21h

About The Position

At Cooper University Health Care, the commitment to providing extraordinary health care begins with its team. The organization continuously discovers clinical innovations and enhanced access to up-to-date facilities, equipment, technologies, and research protocols. Cooper University Health Care is committed to providing competitive rates and compensation programs, a comprehensive benefits program for full and part-time employees, including health, dental, vision, life, disability, and retirement, as well as attractive working conditions and opportunities for career growth through professional development. The Manager of Revenue Integrity is responsible for ensuring all services are accurately charged by maintaining the chargemaster, ensuring compliance with government regulations for pricing, and securing accurate reimbursement. This role involves working closely with department leaders to validate charges, reduce denials, and develop missing charge capture strategies. The position will oversee a Chargemaster Analyst, a Nurse Auditor, and a Specialist, who will assist in maintaining the chargemaster, researching coding and billing guidelines, insurance contracts, updating the chargemaster, and performing audits to monitor compliance.

Requirements

• Must have 5+ years' experience overseeing the functionality of the CDM.
• BS/BA required.

Responsibilities

• Responsible for coordinating a robust charge reconciliation process with department or service line leaders.
• Keeping abreast of coding and reimbursement changes to ensure we maximizes reimbursement, reduce denials for coding errors by maintaining an accurate chargemaster.
• Manage the Chargemaster Analyst or equivalent directly for chargemaster maintainer.
• Manage the Charge Auditor function to close gaps in missing charges.
• Responsible for initiating process improvement objectives to reduce missing charges and unsure completeness of Revenue Integrity.
• Collaborate with Informatics and IT resources to ensure upstream processes to ensure complete charging.
• Collaborate with Supply Chain to ensure that new supplies, drugs and implants are being charges for correctly.
• Collaborate with decision support to ensure that charging is in line with organizational goals.
• Contribute to monthly Revenue Cycle meetings to report on revenue Integrity functions.
• Collaborate with other Revenue Cycle leaders to develop denial reduction and missing charge capture strategies.
• Make recommendations for products and services that can improve our performance.
• Other duties as assigned.

Benefits

• competitive rates and compensation programs
• comprehensive benefits program, including health, dental, vision, life, disability, and retirement
• attractive working conditions
• opportunities for career growth through professional development

What This Job Offers

• Career Level: Manager
• Number of Employees: 1,001-5,000 employees